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r�»�.ash,Alin,+a •4-tin, I,i .1►:Ae,i \bA'.! `;'r�w '�'kha'4I a . <br /> CHART NO. - <br /> TO POSTING- 11,7,4,45 <br /> �aesaa a eea <br /> M <br /> Sewer Applicatio and It <br /> 29171 DATE 4/%/91 <br /> Service Address — 2505 57th St SW Utility Account No. <br /> Billing Address 14410 Bal Rad Rd <br /> City,Slate,Zip sallow, WA 95007 Permit Fee $ 70.00 <br /> Ownor Corgi connection Charge <br /> Connection by Trunk $ <br /> Address Lateral $ <br /> Total Connection Charge $— 0.00 <br /> Phone Utility Development Foe <br /> Letal Description: Water $ _ 224.00 <br /> Lot _ 49 Sewer $ <br /> Block —— Total Development Fee $— 224.Of) <br /> Plat rovdat tall Biablands <br /> Unpletted Description: Sower Bond District <br /> Abutting Lot Line <br /> N,S,E,IN ft. <br /> Type of Permit Nw connection Approved By_ <br /> gb <br /> Remarks _ _... Issued By_. <br /> Customer Signature ' <br /> IMPORTANTI <br /> CALL 1-800.424.5555 48-HOURS <br /> PRIOR TO DIGGING <br /> (�eb� <br /> CALL 259-8810 FOR INSPECTION Inspection By 6114^ <br /> Date Inspected G-1•?5 <br /> SEE SKETCH ATTACHED <br /> INSI>Lcnow '? 29171 <br />